叶永杰 1王秀敏 1银毅 1苏登 1王志强 1阳波1
作者信息
- 1. 四川省遂宁市中心医院骨科，四川 遂宁 629000
- 折叠
摘要
Abstract
Objective To compare the clinical efficacy of the hollow screw locking plate and the hollow compression screw for treating femoral neck fracture in young adults. Methods The young adult patients with femoral neck fracture in our hospital from January 2009 to August 2012 were treated by the hollow screw locking plate(group A,n = 25) and the hollow compression screw(group B,n = 32) respectively. The group A adopted the hollow screw locking plate (16 males, 9 females, mean age 36. 4 years; aged 17 - 54 years; the Garden typeⅠ, Ⅱ, Ⅲ, Ⅳ fractures were 1, 4, 11 and 9 cases, respectively; The group B adopted the hollow compression screw (20 males, 12 females; aged 21 - 59 years; mean age 39. 6 years, the Garden typeⅠ, Ⅱ, Ⅲ, Ⅳfractures were 3, 6, 13 and 10 cases respectively. The operative time, blood loss, hospital stay, the Harris functional score, internal fixation losening and the ratio of screw withdraw as well as the occurrence rate of nonunion and femoral head necrosis within postoperative 12 months were observed and compared. Results The operative time of the two groups were (45. 9 ± 16. 4)min and (53. 2 ± 18. 1)min, the hospital stay was (9. 5 ± 1. 6)d and (10. 1 ± 1. 4) d, the Harris Score was (78. 4 ± 13. 2) and (83. 7 ± 11. 9) and the occurrence rate of nonunion and femoral head necrosis was 16. 00%and 15. 63% , the above differences between the two groups had no statistical significance, but the intraoperative blood loss in the two groups was (75. 5 ± 13. 8) mL and (29. 7 ± 10. 2) mL respectively, the difference between them had statistical significance( P ﹤ 0. 05); the ratio of internal losening was 8. 00% and 31. 25% respectively, the difference between the two groups showing statistical difference ( P ﹤ 0. 05 ) ; the ratio of implant removing difficulty was 0 and 21. 88% respectively, the difference between the two groups showing statistical difference( P ﹤ 0. 05). Conclusion The hollow screw locking plate and the hollow compression screw for treating femoral neck fracture in young adults all provide better fixation effect, but the hollow screw locking plate has the superiority of low ratio of losening and screw withdraw, easier second removal. The occurrence rate of nonunion and femoral head necrosis has no statistical difference be-tween the two methods.关键词
空心钉锁定板/加压空心螺钉/股骨颈骨折/骨折固定术/并发症/青壮年Key words
hollow screw locking plate/hollow compression screw/femoral neck fracture/fracture fixation/complications/young adults分类
医药卫生
